Individual
DR. GLENN FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CONNECTICUT CHILDREN'S SPECIALTY GROUP, 282 WASHINGTON STREET, HARTFORD, CT 06106-3322
(860) 837-7250
(860) 837-7251
Mailing address
CONNECTICUT CHILDREN'S SPECIALTY GROUP, 60 HARTLAND STREET - CBO, EAST HARTFORD, CT 06108-3250
(860) 837-5602
(860) 837-5613
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33074
CT
208000000X
Pediatrics Physician
45006
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008000261B
HUMANA
—
05
—
1457302820
—
CT
05
—
34250700
—
WI
Enumeration date
05/12/2006
Last updated
07/21/2022
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